Organization Active NPI

Sonshine Behavior Services Bcba, LLC

  • Behavior Analyst
  • Melbourne, FL
National Provider Identifier
1497240303
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-17133 Issued in FL
Legal business name
SONSHINE BEHAVIOR SERVICES BCBA, LLC
Practice address
1984 Madison Ave
Melbourne, FL 32935-4048
Phone
(321) 501-5665
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mildred Chapman, BCBA
Title
Behavior Analyst
Phone
(321) 501-5665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-14-17133 FL Primary

Addresses

Primary practice location

1984 Madison Ave
Melbourne, FL 32935-4048

Mailing address

1984 Madison Ave
Melbourne, FL 32935-4048
Phone (321) 501-5665

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1497240303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 MADISON AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354048",
            "telephone_number": "321-501-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 MADISON AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354048",
            "telephone_number": "321-501-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONSHINE BEHAVIOR SERVICES BCBA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "321-501-5665",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-14-17133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.